Funds for Student Programs

Please use the exact and formal name of your organization (e.g., no abbreviations).

Purpose of the Organization: *

Contact Information

Contact's Name: *

Contact's Title (if any) within the Organization, e.g., Treasurer, President:

Contact's Local Address: *

Contact's Phone: *

Contact's UVA Email: *

Event Title: *

Event Type: *

Social

Cultural

Education or Academic

Service

Other

Event Type: Other

Event Description: *

Event Date: *

Year

Month

Day

Generally, we only accept requests for events that have not yet occurred. Prior approval is required for retroactive requests.

Event Time: *

Hour

:

Minute

am

pm

Event Location: *

Event Rain Site (if applicable):

Awards / Requests YTD

Read-Only—These fields will pre-populate with your organization's award information year-to-date. This information includes requests received on or after Nov. 2, 2016. Information from requests prior to Nov. 2, 2016, are available upon request from mng9nf@virginia.edu.

Total amount awarded to your Organization YTD: $

Number of Previous Requests YTD:

Total Amount You Would Like to Request from VP&CSAO: *$

What is the target audience/who will participate? *

How many attendees/participants are expected? *

Is your organization a registered CIO? *

Yes

No

Have you sought Student Council appropriations for this event? *

Yes

No

If yes, why request additional funds? If not, please explain why. *

Student Council appropriations is the primary fund source for student groups and student events on Grounds. We encourage all student groups to investigate whether Student Council appropriations would be a match for their event before submitting applications to VP&CSAO or other offices.

Itemized Budget: *

List all projected fund sources and expenses (including funds from other sources, e.g., Student Council, etc.). For details and sample budgets, see Budgeting: A Quick Guide.

List of Co-Sponsorships: *

Include organizations, if any, and how they will contribute to the event (financially or otherwise). Indicate if each is confirmed, if you have applied and are awaiting a decision, or if you intend to apply.

Does this event involve food/meals, performance or service contracts, honoraria, travel, or gifts/awards? Certain restrictions and requirements apply to these and other expenses. See Special Considerations and Restrictions for details.

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